| NPI | 1396355996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 60846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 60846) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-05-18 |